PROPERTY SUMMARY

 

Date: 10/18/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: October 

Property Address: 505 N 41 Av 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: None 

A.2 Issues Resolved: Re-Seed will occur in November on any dead spots to encourage spring growth. 

A.3 Unique Findings: 

A.4 Other Relevant Information: 

CONFIRMATION SAMPLING DATA/RESULTS: 

Easement 89 @ Scrape 

Dl-317@13" 

F2-39@10" 

Bl-43@10" 

ATTACHMENTS 

1) Property sketch provided by EPA pursuant to contract specifications 

2) Signed Access Agreement including access agreements required for crossing other properties 

3) Pre-Excavation digital video clip/photographs 

4) Post-Excavation digital video clip/photographs 

5) Documentation - Completed Close-out Checklist 

6) As-Built sketch ­

i) Shall include final lead levels v) Legend 

ii) Contamination left behind areas vi) Contractor identification 

iii) Property address vii) Date 

iv) BVID number 

7) Other items to be included in the individual property file, if available, or obtained include: 

i) Pre-excavation agreement details (if any are made with the property owner) 

ii) Excavation digital video in MPEG, WMV (Windows Media Video) or SWF (Flash Player) format and/or 

photographs 

iii) Signed form verifying satisfactory restoration 

iv) Description of areas not meeting Interim ROD cleanup criteria. 

Superfund 

ECHNOLOCIES, INC. 

40284380 
23867 

Omah Exterior Paint North Arrow e i Lead Site Owner Name: GREG L SCHANEMAN [3 Good Site Sketch Address: 505 N 41 AV Q Poor 4r* 

Phone: H. w: Qxtfot paint 

Sampl Lead Sample ,AB Samples Collected e Number 

Concentration Collected Firm ;riS<^ Bt-AP^

 

RYASCPXA-23867 F1 tf'T DDm n^ P

 Date: 1-^1'C)^

 

RYBSCPXA-23867 F2 t?*j-S ppm E^ D Time V?b

RYCSCPXA-2386 ^ 7 B1 &&1 opm D B-

Samples Analyzec RYDSCPXA-23867 B2

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RDZSCPXA-23867 DZ 5"/7- Dpm XRF Unit : ^/^- Book ^2. D D Date: &' <1&-0* ' Lab RYCSCPLA-23867

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DDm Result 443 ppm D D

 Time: J^ST?

 

Staff: C^77^7 Number of Samples = *~/ I ( j /

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Omaha Lead Site 46130 




23867 

Omah Exterior Paint North Arrow c i Lead Site Owner Name: GREG L SCHANEMAN Q Good Site Sketch Address: 505 N 41 AV Q Poor <e- Phone: H: •• W: Q^ot paint 

Lead Sample ..g Samples Collected Sample Number 

Concentration Collected Firm:^S^ S^^A^

 

RYASCPXA-23867 F1 if^T opm pr^ n Date: 7'<27~0</

 

RYBSCPXA-23867 F2 5*j-£ ppm

 Time: >l5b 

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Samples Analyzed RYDSCPXA-23867 B2

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' com D n Date: 11< &.0*-/2­ Lab RYCSCPLA-23867 

Result 443 ppm com n n Time: /"^7

 

Staff: Z^vTT?-? Number of Samples = } ^ \ j | /

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Omaha Lead Site 46130 
_ ,v^'v;"'*'•"'.- Agree^ntto allowaccessto 

Omaha Lead / tf£& v the property in order to conduct 

Site Remedial * \v^/r £' environmental sampling and to 

Action ^f-f*ftrt&atf^ remove lead-contaminated soil 

Prudent Technologies. Inc. (Prudent) is under contract wife fee U. S. Environmental Protection Agency 

(EPA) to clean up lead-contaminated soils at a number of properties located in Omaha, Nebraska, 

including fee property located at

 cv^>3 // 7 / f-^l/^^ . The EPA requests your 

permission to allow IVudent to perform a soil cleanup at this property to remove lead-contaminated soil 

By signing feis form, the property owner grants permission to Prudent to perform activities related to fee 

cleanup including soil sampling, removal of lead-contaminated soil, and restoration of fee referenced 

property. After obtaining the owner's signature on feis form, Prudent Technologies, Inc. will contact fee 

property owner (and residents) within the next few weeks to coordinate performance fee work 

If you have any questions about fee soil cleanup planned for your property, please contact Prudent's 

Administrative Clerk for fee Omaha Lead Site cleanup, Ms. Cyndie Hinds at (402) 504-1004. General 

questions about fee Omaha Lead Site cleanup can be directed to fee EPA Public Information Centers at 

(402) 731-3045 (soufe Omaha office) or (402) 991-9583 (norfe Omaha office). 

Property Access Granted By: 

(P1»B» PrintNoms) 

Property Owner Signature: b 

(Signatur*) 

PROPERTY INFORMATION 

(To be completed by resident and/or property owner - please print) 

RESIDENT NAME: V) V) ^ ^^g (^\Q nf/n<3..r> __ gpwner Qentar 

RESIDENTADDRESS: 

IF RENTAL.PROPERTY OWNED BY: 

OWNER'S MAD.MGADDRESS; 

OWNER'S TELEPHONE NUMBER-HOWE: i?l ^~. WORK. _( \ 

AGE OF HOME?: o/ YEARS. HOWLONG HAVE YOU LIVED HERE? /Q YEARS. 

HAS THE EXTERIOR BEEN PAWTED OR COVE RED WITH SDING SINCE 13787 YES 

NUMBER OF OCCUPANTS UNDER? YEARS OLD: J?_ NUMBER OF OCCUPANTS 7 YEARS OLD AND OLDER 

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY M THE YARD FOR S HOURS OR MORE PE R WEEK: 

COMME NTS OR SPECIAL INSTRUCTIONS: (LE. DOGS. E NTRY GATES. ETC.) 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS: The activities to be implemented by EPA under this 

agreement are pursuant to Secticn 104 of CERCLA, 42 TJ.S.C. 9604. EPA's right of access to the property is 

provided for in Section 104(e) of CERCLA, 42 U.S. C 9605(e), which provides entry for "determining the need for 

response, or choosing or taking any response action under this title, or otherwise enforcing the provisions of the 

tide" 
11 ^^ 

23867 

aha Exterior Paint Owne Lead Site r Name: GREG L SCHAN 

Sit Good e Sketch Address: 505 N 41 AV Poor 

ot paint 

Sample Lead Sample

 Samples Collected Number 

Concentration Collected 

RYASCPXA-23867 F1 I

 

RYBSCPXA-23867 F2 

RYCSCPXA-23867 B1 W^ 

Samples Analyzed RYDSCPXA-23867 

RDZSCPXA-23867 XRF Unit Book: &f? 

Lab RYCSCPLA-23867 Date: ^ 

Result ri43ppm Time:

 

Staff: Number of Samples = j ^ ' 

ENTEBEi w/z^ 

J UL 2SZU" * 

T-rzZL 

Omaha Lead Site 46130 
EPA Property Close Out 

Property #: Property Address: $05 v y//?»i 

Date/Time: Oc f. /<?/ 2OO 7 Owner's Name: £rt'j ScA**"na« 

Quads Excavated: gj + pi Contractor Group "Prudent Technologies 

Excavation General Yes

1 . If necessary, were the correct quadratics) excavated and restored? 

,/ 

2. If necessary, were the correct areas of drip zone excavated and restored? •/ 

Grading Sod and Vegetation Yes

1. Does the grading around the perimeter of the house in excavated areas generally slope away 

from the house? S

2. Has sod been laid in all areas that were excavated? t/ 

3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 i/ day time period) 

4. Are sodded areas generally firm and evenly graded? </ 

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day 

;/ time period) 

6. Was the property graded such that water will not pool on the property? */ 

1. Was damage to landscaping or plant materials avoided? 

^ 

Gates, Fences and Retaining Walls Yes

1. Do gates open and close freely? (If applicable) </ 

2. Were all gates or fences taken down during restoration activities reinstalled? (If applicable) is 

3. Was damage to gates or fences avoided? (If applicable) ^ 

4. Was damage to retaining walls avoided? (If applicable) tS 

Foundation, Siding and Gutters Yes

\ . Was damage to the siding or trim avoided? i/ 

2. Was damage to the foundation avoided? i^ 

3. Was damage to windows avoided? •" 

4. Was damage to windows or door screens avoided? </ 

5. Was damage to downspouts or downspout extensions avoided? 

^ 

Sidewalks and Driveways (Concrete) Yes

1 . Was damage to driveway surfaces avoided? «/ 

2. Was damage to walkway surfaces avoided? !/ 

 No 

 No 

 No 

 No 

 No 
Owners comments: 

Inspection notes: 

Removal and restoration activates complete including the 30-day sod warranty: 

EPA Representative fy^jL— ^_ Date: /o/'/f/o •? -; 
Property Completion Agreement

 

This agreement documents the completion of removal activities perfc med on the below listed property. 

The property owner's signature indicates that the property owner if >a isfied with the restoration of the 

subject property, and that no items are in question, now, or at ai ' 1; ne in the future, excluding any 

remaining warranty (30 days total) except those items listed below, i ar /. 

Property ID: ~) 3* O /- *J 

Property Address:

 c^/).

 •5 A/ ^/ fyi/<^ 

Owner:(^? ^ ^hh^rttS/nfan

 

Phone: ^-2s^>>- ^/<~/^ 

Restoration Items in Question: 

Item: 

Item: 

Kern: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

UJ + 

cf> I agree restoration is completed, except as noted above. 

LI I do not agree restoration is completed 

Owner's Signature Date 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 2017970000 Sec-Twn-Rng 20-15-13 

Owner SCHANEMAN Owner 

Name GREGL Address 

Property 

Address 

505 N 41 AV Addition POPPLETON PARK 

City OMAHA Block 10 

Zip 68131 Lot 

Owner 

Address Legal 1 51 X 110 

Owner 

Address 2 505 N 41 AVE Legal 2 

Owner City OMAHA Legal 3 

Owner 

State 

NE Legal 4 

Owner Zip 68131 Assessor 

Website Link 

http://douglasne. mappingonline. com/DouglasCoNe/static/accountinfo.jsp? 

accountno=R2017970000 

Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 22 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData==Douglas County-... 8/1/2007 
23867 

Owner Name: GREG L SCHANEMAN 

Address: 505 N 41 AV 

Phone: 

Omaha Lead Site 

Site Sketch 

Exterior Paint 

Good 

Poor 

ot paint 

Sample Number 

RYASCPXA-23867 

RYBSCPXA-23867 

RYCSCPXA-23867 

RYDSCPXA-23867 

RDZSCPXA-23867 

Lead 

Concentration 

ex? y 

Sample 

Collected 

Lab RYCSCPLA-23867 

Result 443 ppm 

Number of Samples = | ^ 

Omaha Lead Site 46130 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

2017970000 

SCHANEMAN 

GREGL 

505 N 41 AV 

OMAHA 

68131 

505 N 41 AVE 

OMAHA 

NE 

68131 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal4 

Assessor 

Website Link 

20-15-13 

POPPLETON PARK 

10 

8 

51 X110 

http://douglasne.mappingonline.com/DouglasCoNe/static/accountinfo.jsp? 

accountno=R201 7970000 

Disclaimer. Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 22 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-.,. 8/1/2007 
Find Record Clean Up Query Lead Remaining Query Property Damage Query 

Owner Occupied Resident Name: 

Owner Name: ISCHANEMAN GREG L JPRUDENT2007 

ISCHANEMAN GREG L Property Address: Group: 

Owner Address 1: 1505 N 41 AV 

Zip Code: 

Owner Address2 J68131 

J505 N 41 AVE Resident Phone Qualifying Group 

City: State: Zip Code 800 (MUM 

I OMAHA NE |68131 Assessment XRF Date: 

Owner Phone: Alternate Phone: 

Assessment Max XRF Value 
Greg Schaneman 

505 North 41st Avenue 

Omaha, NE 68131 

Re: Property Address 

Dear Homeowner, 

City of Omaha ordinances may prohibit you from using dirt or gravel areas on your 

property as driveways or vehicle parking areas. The E.P.A. may be removing and 

replacing soil underlying a gravel or dirt area on your property that you may be using 

as a driveway or vehicle parking area. If this is the case, you should understand that 

this removal and replacement of soil does not mean that any illegal driveway or 

parking area on your property is made "legal." To the contrary, you may be cited by 

the City if you use a gravel or dirt area as a driveway or parking area, notwithstanding 

any removal or replacement of soil by the E.P.A. If you have any questions about 

legality of a certain driveway or parking area, you may contact the City of Omaha 

Planning Department at 444-5150 

Sincerely, 

Dan Garvey 

Remedial Project Manager